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pgUIN \ SAN JOAQUIN COUNTY <br /> 1 <br /> w� `? EN�.dONMENTAL HEALTH DEPARTMENT <br /> A. 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> 4Ci FOPtN <br /> SWIMMING POOL OFFICIAL INSPECTION REPO T <br /> Name of Facility: N19twt Date: 9 <br /> Address: S2 City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> 1 G LP V !�o Other: <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> Filters v 1 c. Y <br /> 0' Pumps L� <br /> Chlorinator <br /> 0- Flowmeter <br /> Gauges <br /> Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> Equalizer Line Cover <br /> CONSTRUCTION <br /> Pool Shell <br /> Fencing/Gates <br /> Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> Rescue Pole <br /> Life Ring <br /> Safety Signs <br /> Lifeguard <br /> PooVDcck Lighting <br /> Ladders/Hand Rails <br /> Depth Markem/riles <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> Showers <br /> Toilet&Dressing <br /> Ventilation <br /> WATER QUALITY <br /> Chlorine <br /> pH <br /> Cyanuric Acid <br /> Clarity <br /> ❑ Test Kits OkP: -71L <br /> YH.7 46 <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: _P� 1 <br /> Time In: 2� \ e -Ad By nspected by: <br /> Effluent. <br /> Time t: j <br /> r <br /> EHD 36-01 5/26/05 / Page of <br />